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The R Word
knittingyoyo
Wednesday, September 23, 2009 at 10:05 AM -
I'm there ....
Ellen
Wednesday, September 23, 2009 at 11:04 AMHave found out that my meds were working TOO well, causing other problems, and I need to cut back. ( Or is it just a "side effect"? )
Are they working too well BECAUSE I'm remission? How would I know?
If I cut back, ..... how far? That's the 64-thousand-dollar question ... what is there is no happy medium? What if - I just can't take them anymore?
I've already given up Celebrex - COMPLETELY. Now I've got more aches and pains but - my stomach pain went away. Now - Prilosec is giving me muscle/neck/nerve-whatever spasms. Do I risk esophageal cancer if I stop? Well, I can't stop entirely ... but I'm down to 2 or 3 a week.
I've also cut back on Enbrel - this is thet 7th day since. Am I commiting emotional and physical suicide? Or should I just wait and see... if the RA comes "roaring back" as my rheumy as always said?
Will the couple of semi-healed places on my skin finally heal? Or will I have more joint damage while I'm figuring this all out. (Ha! Figure WHAT out!)
Hey, Lene, I'm there ....
Goood luck to y'all out there!
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RA and Mind Games
Anonymous
Wednesday, September 23, 2009 at 09:29 PMI'm on Remicade. I have an infusion every four weeks. I feel pretty "normal" a day after the infusion. You think that would thrill me but I know it's only good for about 3 weeks and an extra five to six days. Usually what happens is 72 to 48 hours before the next infusion the "r" word just cuts out. If I've over done it over the past 3 weeks and I'm in that "RA what's that?" mode, I pay dearly. Of course if I'm cautious it isn't much better. Pain and swelling is pain and swelling. In the Monopoly game of life I feel like I'm always pulling the "go to jail" card. I don't want to get greedy, I don't need "the Boardwalk" card but "pass go and collect $200 dollars" would be great every once in awhile.
re: RA and Mind Games
Lene Andersen
Thursday, September 24, 2009 at 01:05 PMHave you talked to your doctor about increasing the dose or changing the infusion schedule? it's my impression that some people metabolize medication faster than others - for instance, when I first started Humira three years ago, the recommended schedule was a dose every two weeks. However, I need to do it 9-10 days or the symptoms come back, so my rheumatologist basically told me to play with the dose until I found something that worked for me. I don't know if you can do the same with Remicade, but it can't hurt to ask
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you nailed it
Sara Nash
Thursday, September 24, 2009 at 09:59 AMI am completely with you!!!! The 'R' word is verboten. The part about how you begin to tentatively expand your life when RA is being managed really hit home, and how it then means you have more to lose. I think about that a lot now with all the recent changes in my life...but am hoping for the best and trying not to operate out of fear! It's the best we can do, right? So good to know I am not alone in this crazy cycle, though.
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Remission after infusion!
No
Thursday, September 24, 2009 at 11:41 AMMy wife is 32 years of age and had this problem since last 14 years. She has had high and low of this disease. In 2008 she was advised after acute RA/NO Remission, to have two infusions. After infusion she was in pretty good shape for about one after infusion after then she started having the problem. Now she is again depress that what the use of this infusion when I agian develop the same problem though severaty is not that much.
Please share any member their experience who had Rituxamb or Mebthra infusion.
Regards
SARAZA
re: Remission after infusion!
Lene Andersen
Thursday, September 24, 2009 at 12:55 PMI don't know too much about Rituxan, but I do know that results vary - it doesn't work for some people, it works beautifully for others and some need to go back for additional infusions. treating RA is difficult - it is a chronic condition (i.e., you have it for life) and as far as I know, Rituxan is the only drug that has shown promise for a possible long-term remission without needing regular doses of the drug. The good news is that your wife's RA came back in a milder version
I would recommend that you or your wife ask the question again in a SharePost - it will get more traffic than the comments of this post and you will be more likely to hear feedback from other people who have been on Rituxan. As well, I'd recommend that your wife sees her rheumatologist for discussion of future options.
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Sulfasalazine-my savior, or a temporary illusion?
StarHill13
Thursday, September 24, 2009 at 08:38 PMI was on Plaquenil for a year, and kept complaining to my rheumatolgist that I was miserable. I could not walk more than 3 blocks without serious pain in my hip, and I was crawling up stairs. So, she finally changed me to sulfasalazine. I can now walk up stairs with no pain, and one day I actually walked 3 miles! I have also lost 23 pounds on a vegetarian, low-sugar diet (mostly vegan). So, I can't say whether it's purely the meds, or the weight loss, or the diet change that made the most difference. I know a high-sugar diet can cause a lot of inflammation.
Sometimes now I forget that I have RA. I feel completely normal. Other times my shoulder aches or pops out of place, or I have an aching in my big toe, or my hands hurt like hell when I try to grate zucchini manually (I really need a food processor).
It's the little things that remind me that I'll always be sick- it will never go away. Of course, the huge improvement gives me hope for the future that nothing has to change, and I can accomplish all of my goals, and I push the spectre of being crippled to the back of my mind. Then, when that little flare kicks in, it reminds me that I can't forget- it's something I''l have to always live with, and I need to make alternate plans for the future, when I'm not so mobile.
This disease just simply sucks, but I try to remind myself when I see someone in a wheelchair, or someone who has MS, or cancer, or whatever, that it could be worse. For now, I'm just going to do the best I can with what I have. I'm even buying a tradmill. Now that I can walk most of the time without pain, I think it's the right time to try to lose more weight to lessen even more of the stress on my knees.
One day at a time, we can make the most of what we still can do. That's the internal strength that RA can never take away from us.
re: Sulfasalazine-my savior, or a temporary illusion?
Lene Andersen
Friday, September 25, 2009 at 12:37 PM -
YES!
tina
Thursday, September 24, 2009 at 09:08 PMI did not realize until I read your post, I have been doing this! I absolutely refuse to use the R word and even refuse to admit when I am having a "great" day. I always say "Oh, I'm doing pretty good" or "Yes, the meds are working...so far". It's like I'm afraid to jinx myself!
So glad that I'm not alone...!!!
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Exactly!!
Nan
Friday, September 25, 2009 at 06:47 AMI find myself constantly knocking on wood in case the demon is listening to me make plans. My friends and family play along and say loudly, as if the demon may be listening, "You are in no way going shopping with us this weekend, are you" or " There is a barbeque this weekend in which we are sure you want no part of, right".
It's like being superstitious, And I am in no way going fishing this weekend either!!!!
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answer to Are you in remission
Letty Ryan
Saturday, September 26, 2009 at 10:29 AMDoes it matter if you are in remission? I have been sick for so long(since 2005) I'm not sure I would know what remission is. I've been trying to get SSI disability for severe degenerative disc disease, Fibromyalgia and RA and my appeal was turned down for the 3rd time. This judge feels that I should sit, stand and walk at least 6 hours a day and be able to lift 10lbs frequently and 20lbs occasionally. But every doctor I see tells me don't even try it because you're only going to feel worse. Remission...what is that? Can anyone enlighten me please?
re: re: answer to Are you in remission
Letty Ryan
Saturday, September 26, 2009 at 02:53 PMPretty sure he didn't have a medical degree..lol..but this is exhausting...is it worth fighting for rights that you think you should have but some judge says your not worth it...whew..I'm exhausted. I'm off RA meds since a real bad blood result in Feb 09...I'm not sure whats next...some say Enbrel..some say Humira....I feel like a lab rat. Thanks for the reply...It helps knowing I'm not alone
re: answer to Are you in remission
Cindy
Tuesday, September 29, 2009 at 08:02 PMHello Letty,
If I may ask, How old are you? I applied for SS at age 49 and to my surprise I received it the first time I applied. I havebeen told it was probably because I was so near to 50 years old?????? I really focused on self help skills or the thinkgs that I can no longer do for myself andneeded others help on a daily or nearly daily basis. I have a college degree so I really expected them to deny me the first time around. If you would like to talk about how I filled out the paperwork sometime just email. My problem is that I was selfemployed and considered uninsurable even by the state's risk pool. I no longer have insurance and it is killing me financially. I would rather have insurance than the monthly check at this point. I qualify for medicare in june 2010, but I know that won't solve all the problems either. Hang on to any health insurance you may have and hold on tight.
Good Luck
Cindy
re: re: answer to Are you in remission
Letty Ryan
Wednesday, September 30, 2009 at 09:09 AMHi Cindy, well I am 49. I had a severe head on collision in 1998, leaving me with a brain injury, whiplash, seperated shoulder and TMJ. The doctor felt the TMJ happened when I sreamed seconds before impact. Iwas in bad shape and started having seizures and fell, dislocating my ankle. The ER doctor didn't want to wait for my surgeon so he tried to relocate my foot/ankle and broke my leg in 2 places and shattered my ankle. I spent months in a wheelchair, focusing on my recovery from that. I applied for SSI then and was denied went to school and received a certificate and well did ok for a few years although the arthirits in my leg/ankle was bad. In 2005 my doctor thought I sprained my back walking/hiking. He had been treating me for months and I was in PT and going to the Chiro twice a week and taking lots of pain medication but nothing was working. In May I would up in the ER and passed out waiting. Hours later when I came to, I was being given injections of Morphine. That didn't work. 10 days later, my miracle showed up and operated on S1-L5. He then told me and my family that I was suffering from Degenerative Disc Disease. For the next 18 months I was sick, seeing specialist thinking that it was my back. Finally a spine specialist told my doctor to test me for Lupus. The test came back positive but months later they said it wasn't Lupus it's RA.
I've been on several meds since that Jan 07 diagnosis and haven't worked but maybe 48 hours in 40 months. I can't have surgery on my back because of the RA. Once that is under "Control" I might be considered. Whew! 'That's my story, I lived in NJ and moved to NC in August of 06...
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Untitled Comment
Brad
Monday, September 28, 2009 at 02:24 AMI can only hope for such a thing. I don't say the R word either. It's been years of pain, and then my dx, and the meds still dont work. I keep changing them and they keep failing me. I too was denied by SSDI, the reason? We accept that you are unable to work now, but you MAY be able to in the next 12 months. I can only hope to be able to walk and function well in the next 3 months. I am very happy for anyone that can reach remission with this disease! I just wish others understood it better. Great post Lene, as usual!
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The R-word
Rena
Monday, September 28, 2009 at 05:33 PMYou took the words right out of my mouth! The R work is one that I hate to even think about, for fear that I will have a flare. I am constantly worried about the next flare. They are so awful and painful. The dread is always in the back of my mind. So,...when I do get a break, I quietly "tip-toe" through life adding a bit more and a bit more when I feel brave.
Once in a great while, I through caution to the wind and just do what I want to do with friends and family, thinking nothing of the price I will pay later. But,...then the flare comes and I suffer bad. I guess its just my defiance of RA. I can't let RA be the boss all the time!
re: The R-word
Lene Andersen
Tuesday, September 29, 2009 at 02:01 PMOh yes, the dread. I wrote a post about that a while back. And you're right - the RA isn't the boss of me. I may live with it, accommodate it, but it doesn't get to win. Well, not all the time anyway....

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Yes, yes, a thousand times yes. I agree completely with everything you just said.